Tiroiditis crónica de Hashimoto: Serie clínica

Background: Chronic Hashimoto Thyroiditis (CHT) is the main cause of hypothyroidism. Aim: To report a series of patients with CHT. Material and Methods: Retrospective analysis of a series of 27 men aged 38 ± 14 years and 201 women aged 37 ± 16 years, evaluated in the private offces of two of the aut...

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Autores principales:	PIRAINO N,PATRICIA, SEPÚLVEDA N,ANDREA, CAVADA CH,GABRIEL
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Hashimoto disease Hypothyroidism Thyrotropin
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700006
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spelling	oai:scielo:S0034-988720100007000062010-11-26Tiroiditis crónica de Hashimoto: Serie clínicaPIRAINO N,PATRICIASEPÚLVEDA N,ANDREACAVADA CH,GABRIEL Hashimoto disease Hypothyroidism Thyrotropin Background: Chronic Hashimoto Thyroiditis (CHT) is the main cause of hypothyroidism. Aim: To report a series of patients with CHT. Material and Methods: Retrospective analysis of a series of 27 men aged 38 ± 14 years and 201 women aged 37 ± 16 years, evaluated in the private offces of two of the authors. Results: Fifty six percent of patients only had unspecifc symptoms at the moment of consultation, 50% had a family history of thyroid diseases and only 21% of women had a previous history of goiter. Eighty one percent of patients had clinical or subclinical hypothyroidism, 62% had both antithyroglobulin and antithyroid peroxidase positive antibodies and 13% had both antibodies negative. Only 1.4% of patients had a normal thyroid ultrasound examination. Patients were treated with levothyroxine at a mean dosage of 75 µg/day and 53% achieved an adequate TSH level. Six of ten patients operated due to nodules had a papillary carcinoma. Conclusions: CHT should be sought in the general population, especially those with a family history of thyroid disease. Thyroid ultrasound is seldom normal in patients with CHT. Thyroid substitution should be monitored periodically to achieve adequate TSH levels.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.7 20102010-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700006es10.4067/S0034-98872010000700006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Hashimoto disease Hypothyroidism Thyrotropin
spellingShingle	Hashimoto disease Hypothyroidism Thyrotropin PIRAINO N,PATRICIA SEPÚLVEDA N,ANDREA CAVADA CH,GABRIEL Tiroiditis crónica de Hashimoto: Serie clínica
description	Background: Chronic Hashimoto Thyroiditis (CHT) is the main cause of hypothyroidism. Aim: To report a series of patients with CHT. Material and Methods: Retrospective analysis of a series of 27 men aged 38 ± 14 years and 201 women aged 37 ± 16 years, evaluated in the private offces of two of the authors. Results: Fifty six percent of patients only had unspecifc symptoms at the moment of consultation, 50% had a family history of thyroid diseases and only 21% of women had a previous history of goiter. Eighty one percent of patients had clinical or subclinical hypothyroidism, 62% had both antithyroglobulin and antithyroid peroxidase positive antibodies and 13% had both antibodies negative. Only 1.4% of patients had a normal thyroid ultrasound examination. Patients were treated with levothyroxine at a mean dosage of 75 µg/day and 53% achieved an adequate TSH level. Six of ten patients operated due to nodules had a papillary carcinoma. Conclusions: CHT should be sought in the general population, especially those with a family history of thyroid disease. Thyroid ultrasound is seldom normal in patients with CHT. Thyroid substitution should be monitored periodically to achieve adequate TSH levels.
author	PIRAINO N,PATRICIA SEPÚLVEDA N,ANDREA CAVADA CH,GABRIEL
author_facet	PIRAINO N,PATRICIA SEPÚLVEDA N,ANDREA CAVADA CH,GABRIEL
author_sort	PIRAINO N,PATRICIA
title	Tiroiditis crónica de Hashimoto: Serie clínica
title_short	Tiroiditis crónica de Hashimoto: Serie clínica
title_full	Tiroiditis crónica de Hashimoto: Serie clínica
title_fullStr	Tiroiditis crónica de Hashimoto: Serie clínica
title_full_unstemmed	Tiroiditis crónica de Hashimoto: Serie clínica
title_sort	tiroiditis crónica de hashimoto: serie clínica
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700006
work_keys_str_mv	AT pirainonpatricia tiroiditiscronicadehashimotoserieclinica AT sepulvedanandrea tiroiditiscronicadehashimotoserieclinica AT cavadachgabriel tiroiditiscronicadehashimotoserieclinica
_version_	1718436514468200448

Tiroiditis crónica de Hashimoto: Serie clínica

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